SCI Region VI Conference Registration Form

SCI Region VI 2005

Conference Registration
Please make out all checks to the UTSA

Name:

Institutional Affiliation:

Phone: Email:

The conference fee is $35.00 until January 31, 2005. After that, the conference fee will be $40.00.

Number attending conference: X $35.00 = Total: $

Number attending conference dinner (2/25/04): X $25.00 = Total: $

Total enclosed (make checks out to UTSA): $

Mail to:

David Heuser, SCI Conference

UTSA Department of Music

6900 North Loop 1604 West

San Antonio, TX 78249